tag:blogger.com,1999:blog-27356178.post420181676504425599..comments2016-11-24T23:20:58.297+11:00Comments on villagemidwife: Midwifery frameworkJoy Johnstonnoreply@blogger.comBlogger6125tag:blogger.com,1999:blog-27356178.post-32667334765980170932009-08-16T16:49:35.133+10:002009-08-16T16:49:35.133+10:00I see what you mean and for the women who are open...I see what you mean and for the women who are open to that its great. <br />Even better for me is if they have already done the research and spoken to the medical establishment and then decided to make contact. That way there is no possibility of confusion on the care offered or the research available. This would be ideal if it were readily available.<br />I have a client expecting twins who came to me in this way. Makes antenatal decisions for her much clearer.Lisa Barretthttp://www.blogger.com/profile/04161928233695371911noreply@blogger.comtag:blogger.com,1999:blog-27356178.post-67400996401366234412009-08-16T15:44:07.303+10:002009-08-16T15:44:07.303+10:00Lisa I do appreciate your comment, as I think this...Lisa I do appreciate your comment, as I think this sort of discussion throws light on the subject.<br />You say that &quot;under current midwifery understanding you wouldn&#39;t be expected to refer a woman with twins ... [and she makes] the best choice for herself.&quot;<br />I agree that she is responsible to make the choice, but I consider that the best way she can do this is by hearing her options from those who provide the options, rather than by me giving my version of what I think the doctor will or will not &#39;let&#39; her do. I have always practised midwifery in this way.Joy Johnstonhttp://www.blogger.com/profile/16475164378153618715noreply@blogger.comtag:blogger.com,1999:blog-27356178.post-2162506703854723702009-08-16T11:09:20.986+10:002009-08-16T11:09:20.986+10:00Joy, under current midwifery understanding you wou...Joy, under current midwifery understanding you wouldn&#39;t be expected to refer a woman with twins you would be expected to give her all information for her to decide for herself. making not necessarily what we consider the best choice as we see it but the best choice for herself. <br /><br />Under new government proposed framework (although difficult to discuss as homebirth isn&#39;t included at the moment) you would be expected to refer the woman and she would have to have due process for her right to refuse.<br /><br />This is why there is a question over keeping midwives safe and the womans right to chose.<br /><br />They are muddled because a midwifery framework will restrict a womans right to chose if she can&#39;t find a midwife who will work outside a given framework. <br />A framework and guides ARE there to ensure safe behaviour of a midwife and it IS assumed with these that the midwife is the keeper of birth.<br /><br />We can rationalise anything to make it appear that we are woman focused but any over regulation is not in the womans best interest or in the midwives best interest to provide absolute individualised care.Lisa Barretthttp://www.blogger.com/profile/04161928233695371911noreply@blogger.comtag:blogger.com,1999:blog-27356178.post-45302444324066149172009-08-12T22:52:04.919+10:002009-08-12T22:52:04.919+10:00Oh sorry I wasn&#39;t clear...I wasn&#39;t suggest...Oh sorry I wasn&#39;t clear...I wasn&#39;t suggesting that you were purporting to be the keeper of the woman and child, but that&#39;s the way it is often portrayed. Like when I chose to homebirth one of the most common things I was asked was &quot;are you allowed to do that?&quot; or &quot;will the dr let you do that?&quot;<br /><br />I find it very sad that people do not understand their basic human rights to seek the care they desire, and to also refuse interventions etc if they wish.Stitch Sistahttp://www.blogger.com/profile/00454195195116512673noreply@blogger.comtag:blogger.com,1999:blog-27356178.post-83552160639930829802009-08-12T16:09:01.496+10:002009-08-12T16:09:01.496+10:00Thanks for asking this question, stitchsista. I s...Thanks for asking this question, stitchsista. I suppose it seems that I&#39;m being wishy washy, but I have to say, yes, and no. <br /><br />Yes, I would provide prenatal care, as a midwife, at the &#39;primary care&#39; end of things. But I would be expected (under the basic midwifery framework that is understood world-wide) to refer the woman to a specialist, either within a public maternity hospital or a private obstetrician - and she would have to make informed decisions about any choices that come out of that care. Most women with twins would not consider midwifery care sufficient: they would want ultrasound, and possibly some other forms of monitoring. These are technologies that I do not manage, and in normal uncomplicated birth I am happy to work without them. <br /><br />Does this mean that the midwife or doctor become the &#39;keeper&#39;. I don&#39;t think so. <br /><br />I see midwives as guardians or keepers of normal birth, but not of the women and their babies.Joy Johnstonhttp://www.blogger.com/profile/16475164378153618715noreply@blogger.comtag:blogger.com,1999:blog-27356178.post-43990537494132021942009-08-12T15:43:01.352+10:002009-08-12T15:43:01.352+10:00So does that mean you would or wouldn&#39;t provid...So does that mean you would or wouldn&#39;t provide prenatal care to the woman carrying twins??<br /><br />What bothers me is this idea that anyone - bet it the dr or the midwife is the &#39;keeper&#39; or solely responsible for the birthing woman and her child. Indeed the birthing woman needs to take responsibility for her choices, after the midwife gives her all the information she needs to make the best choice.Stitch Sistahttp://www.blogger.com/profile/00454195195116512673noreply@blogger.com